Covid-19 preventive practices, psychological distress, and reported barriers to healthcare access during the pandemic among adult community members in sub-Saharan Africa: a phone survey

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dc.contributor.authorAssefa, Nega
dc.contributor.authorAbdullahi, Yasir Y.
dc.contributor.authorHemler, Elena C.
dc.contributor.authorLankoande, Bruno
dc.contributor.authorMadzorera, Isabel
dc.contributor.authorWang, Dongqing
dc.contributor.authorIsmail, Abbas
dc.contributor.authorChukwu, Angela
dc.contributor.authorWorkneh, Firehiwot
dc.contributor.authorMapendo, Frank
dc.contributor.authorMillogo, Ourohire
dc.contributor.authorAbubakari, Sulemana Watara
dc.contributor.authorFebir, Lawrence Gyabaa
dc.contributor.authorLyatuu, Isaac
dc.contributor.authorDianou, Kassoum
dc.contributor.authorBaernighausen, Till
dc.contributor.authorSoura, Abdramane
dc.contributor.authorAsante, Kwaku Poku
dc.contributor.authorSmith, Emily
dc.contributor.authorVuai, Said
dc.contributor.authorWorku, Alemayehu
dc.contributor.authorKillewo, Japhet
dc.contributor.authorMwanyika-Sando, Mary
dc.contributor.authorBerhane, Yemane
dc.contributor.authorSie, Ali
dc.contributor.authorTajudeen, Raji
dc.contributor.authorOduola, Ayo
dc.contributor.authorFawzi, Wafaie W.
dc.date.accessioned2023-05-26T14:07:30Z
dc.date.available2023-05-26T14:07:30Z
dc.date.issued2022
dc.descriptionFull text article. Also available at https://doi.org/10.4269/ajtmh.22-0349en_US
dc.description.abstractThe COVID-19 pandemic has had serious negative health and economic impacts in sub-Saharan Africa. Continuous monitoring of these impacts is crucial to formulate interventions to minimize the consequences of COVID-19. This study surveyed 2,829 adults in urban and rural sites among five sub-Saharan African countries: Burkina Faso, Ethiopia, Nigeria, Tanzania, and Ghana. Participants completed a mobile phone survey that assessed self-reported sociodemographic, COVID-19 preventive practices, psychological distress, and barriers to healthcare access. A modified Poisson regression model was used to estimate adjusted prevalence ratios (aPRs) and 95% CIs to investigate potential factors related to psychological distress and barriers to reduced healthcare access. At least 15.6% of adults reported experiencing any psychological distress in the previous 2 weeks, and 10.5% reported that at least one essential healthcare service was difficult to access 2 years into the pandemic. The majority of participants reported using several COVID-19 preventive methods, with varying proportions across the sites. Participants in the urban site of Ouagadougou, Burkina Faso (aPR: 2.29; 95% CI: 1.74–3.03) and in the rural site of Kintampo, Ghana (aPR: 1.68; 95% CI: 1.21–2.34) had a higher likelihood of experiencing any psychological distress compared with those in the rural area of Nouna, Burkina Faso. Loss of employment due to COVID-19 (aPR: 1.77; 95% CI: 1.47–2.11) was also associated with an increased prevalence of psychological distress. The number of children under 5 years in the household (aPR: 1.23; 95% CI: 1.14–1.33) and participant self-reported psychological distress (aPR: 1.83; 95% CI: 1.48–2.27) were associated with an increased prevalence of reporting barriers to accessing health services, whereas wage employment (aPR: 0.67; 95% CI: 0.49–0.90) was associated with decreased prevalence of reporting barriers to accessing health services. Overall, we found a high prevalence of psychological distress and interruptions in access to healthcare services 2 years into the pandemic across five sub-Saharan African countries. Increased effort and attention should be given to addressing the negative impacts of COVID-19 on psychological distress. An equitable and collaborative approach to new and existing preventive measures for COVID-19 is crucial to limit the consequences of COVID-19 on the health of adults in sub-Saharan Africa.en_US
dc.identifier.citationAssefa, N., Abdullahi, Y. Y., Hemler, E. C., Lankoande, B., Madzorera, I., Wang, D., ... & Fawzi, W. W. (2023). COVID-19 preventive practices, psychological distress, and reported barriers to healthcare access during the pandemic among adult community members in sub-Saharan Africa: a phone survey. The American journal of tropical medicine and hygiene, 108(1), 1-13.en_US
dc.identifier.otherDOI: https://doi.org/10.4269/ajtmh.22-0349
dc.identifier.urihttp://hdl.handle.net/20.500.12661/4074
dc.language.isoenen_US
dc.publisherAmerican Society of Tropical Medicine and Hygieneen_US
dc.subjectCOVID-19en_US
dc.subjectCOVID-19 pandemicen_US
dc.subjectPsychological distressen_US
dc.subjectPreventive methodsen_US
dc.subjectPreventive Practicesen_US
dc.subjectHealthcare accessen_US
dc.subjectRespiratory infectionen_US
dc.subjectSARZen_US
dc.subjectCorona virusen_US
dc.titleCovid-19 preventive practices, psychological distress, and reported barriers to healthcare access during the pandemic among adult community members in sub-Saharan Africa: a phone surveyen_US
dc.typeArticleen_US
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